NPI | 1497176275 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT POSTLE Owner 844-633-4663 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2013-12-23 |
Last Update Date | 2015-07-29 |