NPI | 1477599280 |
---|---|
Doing Business As | BAY PLAZA MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | RANDY ROBINSON Administrator 228-865-1453 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-21 |
Last Update Date | 2008-05-23 |