NPI | 1508239781 |
---|---|
Doing Business As | BOTHWELL PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | JAMES A ROBERTSON Chief Executive Officer 660-827-9482 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |