NPI | 1376849224 |
---|---|
Doing Business As | NORTHERN AREA FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KENNEY HEINE VP Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD027156E) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2013-04-30 |