| NPI | 1386004372 |
|---|---|
| Doing Business As | USA STANTON ROAD CLINIC |
| Entity Type | Organization |
| Authorized Contact | HARVEY IKNER Asso Admin Of Ambulatory Clinics 251-470-1671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |