NPI | 1528822392 |
---|---|
Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
Entity Type | Organization |
Authorized Contact | RYAN CATIGNANI VP Provider Services 947-522-0008 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |