NPI | 1457686891 |
---|---|
Former Legal Business Name | DARE MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | VAN SMITH President 252-449-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-10-02 |
Last Update Date | 2009-10-02 |