| NPI | 1477187763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE KUBIK CEO 855-722-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-11-07 |