| NPI | 1487802930 |
|---|---|
| Doing Business As | INTERNAL MEDICINE DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | JOE JOHNSON Vice President 866-465-9222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2013-06-11 |