NPI | 1447203674 |
---|---|
Doing Business As | MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JEFFREY COSTELLO VP CFO 574-647-3549 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01046281A) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2019-04-04 |