NPI | 1386835007 |
---|---|
Doing Business As | ULRF WINGS CLINIC |
Doing Business As | WINGS CLINIC |
Entity Type | Organization |
Authorized Contact | TONI GANZEL VP Of Health Affairs 502-852-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-08-07 |
Last Update Date | 2021-12-21 |