NPI | 1407976624 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ANTHONY BUCCO President 256-287-2345 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL MD27216) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2008-12-15 |