NPI | 1518122910 |
---|---|
Doing Business As | COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | CHUCK CHAMBERS Administrator 913-469-0503 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-07-24 |
Last Update Date | 2016-12-07 |