NPI | 1588739130 |
---|---|
Doing Business As | GRANTS PASS PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LISA MICHELLE CALLAHAN Owner 541-472-0021 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OR 94000382N2) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2016-10-12 |