NPI | 1407203672 |
---|---|
Doing Business As | CREDO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ANDREW J. MULLALLY Owner 260-445-5829 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074259A) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |