| NPI | 1437321494 |
|---|---|
| Doing Business As | EDMONTON PRIMARY CARE MED GROUP |
| Entity Type | Organization |
| Authorized Contact | REX A TUNGATE CEO 270-384-4753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 900028) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |