| NPI | 1497243414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANNICK BARTON RIGGS VP Of Healthcare 385-440-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5181855-1205) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |