NPI | 1518927128 |
---|---|
Doing Business As | FAYETTE SALARIED PHYSICIANS |
Entity Type | Organization |
Authorized Contact | RANDALL WHITE CEO 765-825-5131 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207L00000X Anesthesiology |
207X00000X Orthopaedic Surgery | |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
208100000X Physical Medicine & Rehabilitation | |
208600000X Surgery | |
Enumeration Date | 2006-03-27 |
Last Update Date | 2016-04-08 |