NPI | 1407152184 |
---|---|
Doing Business As | ST JOSEPH INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | CARMEL JONES President/COO 606-309-5506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2011-01-28 |
Last Update Date | 2013-08-08 |