NPI | 1386921195 |
---|---|
Doing Business As | FARMINGTON PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | DANIEL S SLIPKOVICH CEO 573-756-5787 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-11-08 |
Last Update Date | 2011-11-08 |