| NPI | 1467936195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET CONCEPCION Medical Billing Supervisor 671-647-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |