| NPI | 1508168808 |
|---|---|
| Doing Business As | FOOTHILLS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY F BLACKBURN CPO 336-527-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |