| NPI | 1417065764 |
|---|---|
| Doing Business As | CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES W MOORE Executive Vice President 765-646-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |