| NPI | 1477200228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WILCOX Owner, Managing Partner 888-304-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-08 |