| NPI | 1427679067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HARDY VP Operations 151-386-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-02-07 |