NPI | 1588446900 |
---|---|
Doing Business As | ELITE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | DANA REITZAMMER Nurse Practitioner 318-355-6743 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-10-19 |
Last Update Date | 2023-10-19 |