NPI | 1467112888 |
---|---|
Doing Business As | QUEERDOC |
Entity Type | Organization |
Authorized Contact | CRYSTAL JOY BEAL Physician 541-604-8276 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-12-27 |
Last Update Date | 2021-12-27 |