NPI | 1568120319 |
---|---|
Doing Business As | THE GOOD CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN LEE SMITH Chief Nurse Practitioner Officer 763-639-5327 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-11-29 |
Last Update Date | 2024-10-01 |