| NPI | 1457180390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRINGTON PHILLIPS ALTENBERN Auth Official Owner 737-703-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-31 |