NPI | 1396154324 |
---|---|
Doing Business As | PEDIATRIC SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JAMES KARAM President 574-335-2344 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-08-04 |
Last Update Date | 2024-10-15 |