NPI | 1578557708 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL E SIMONS Owner/President 606-528-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2005-09-02 |
Last Update Date | 2017-05-09 |