NPI | 1376850560 |
---|---|
Doing Business As | IRMC PHYSICIAN NETWORK-FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JEFFREY L SUSI President/CEO 772-567-4311 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME103803) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2010-09-09 |