NPI | 1447205430 |
---|---|
Entity Type | Organization |
Authorized Contact | LELAND DAVID SPENCER Physician Program Manager Ii 410-479-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD D0027046) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-08-22 |