NPI | 1376841874 |
---|---|
Doing Business As | REX FAMILY PRACTICE OF WAKEFIELD |
Entity Type | Organization |
Authorized Contact | LYNNE CHRISTINE FISCUS Cmo 984-215-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-03-08 |
Last Update Date | 2019-08-14 |