NPI | 1528433802 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL L. DABBS President 800-424-3672 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2015-12-11 |
Last Update Date | 2023-03-17 |