| NPI | 1528043320 |
|---|---|
| Former Name | PHYLLIS DEANNE MCCURRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 28145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2007-00550) |
| 207Q00000X Family Medicine (Licence: TX R0066) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2018-08-17 |