| NPI | 1427902824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAL WARNER Owner 385-249-5785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |