| NPI | 1508143074 |
|---|---|
| Doing Business As | PHYSICIANS HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director Provider Enrollment 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2022-01-25 |