NPI | 1457873002 |
---|---|
Doing Business As | UNIVERSITY PLACE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | MITRA HANJANI Owner 253-564-4157 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2017-07-14 |
Last Update Date | 2023-07-28 |