| NPI | 1407514193 |
|---|---|
| Doing Business As | SHAMROCK MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PETER KELLY Owner 267-223-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2022-02-11 |