| NPI | 1477975696 |
|---|---|
| Doing Business As | MISSION SQUARE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SCHARA DAVIS Sole Member 256-721-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-23 |