| NPI | 1548319593 |
|---|---|
| Doing Business As | ELIZABETHTOWN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | YASIR SAIFULLAH Owner 270-769-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-09-29 |