NPI | 1457443202 |
---|---|
Doing Business As | PEDIATRIC PARTNERS OF WH |
Entity Type | Organization |
Authorized Contact | KELLY A STANWOOD Administrator 863-401-8516 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 0069091) |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2014-07-15 |