| NPI | 1417660952 |
|---|---|
| Doing Business As | WEST GRANDVIEW PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |