| NPI | 1427179266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GRIFFIN Owner 800-639-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-10-15 |