| NPI | 1578881181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DAVID RICKETTS Chief Executive Officer 340-719-0685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VI 1103) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |