| NPI | 1457505711 |
|---|---|
| Doing Business As | BON SECOURS PROVIDENCE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GREG A SIMIA CFO 757-673-5928 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |