NPI | 1588964548 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW SCHUEREN V.P. Finance 888-562-5442 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2010-10-25 |
Last Update Date | 2017-12-06 |