| NPI | 1508168253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN DOLLISON President 800-424-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |