| NPI | 1477590164 |
|---|---|
| Doing Business As | ST JOSEPH PHYSICIANS SOUTHWAY |
| Entity Type | Organization |
| Authorized Contact | ANDREW KELLAR Regional Practice Administrator 765-457-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-11-16 |