| NPI | 1568574044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN DYER President 302-658-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DE c2-0007556) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |