NPI | 1578203816 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA RAGER Director Revenue Cycle 844-969-0686 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-01-14 |