NPI | 1588804777 |
---|---|
Doing Business As | INDEPENDENCE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KRISTY SVENSON Network Director 866-814-4476 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2009-02-27 |
Last Update Date | 2009-02-27 |