NPI | 1518342880 |
---|---|
Doing Business As | SOCKDOLAGER MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | WILLIAM H. BUCHNER, JR. Authorized Rep/Owner 619-609-7466 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-07-28 |
Last Update Date | 2015-09-04 |