NPI | 1578447892 |
---|---|
Doing Business As | ADA ADULT MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | MICHELLE A COLE Owner 580-272-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2025-07-31 |
Last Update Date | 2025-07-31 |