NPI | 1508914102 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY N EVANS President Owner 662-234-0119 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 12109,17162,R862053) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-09-05 |