| NPI | 1437661212 |
|---|---|
| Doing Business As | MARYVALE FAMILY PRACTICE GROUP INC |
| Entity Type | Organization |
| Authorized Contact | NAHLA CHIRCO Fnp 248-250-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |