| NPI | 1467652479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SUE HOWE Billing Supervisor 888-877-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL me58680) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-04-20 |