NPI | 1427002237 |
---|---|
Doing Business As | NORTHRIDGE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KEN WASHINGTON VP 816-508-4090 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-19 |
Last Update Date | 2022-07-21 |