| NPI | 1598400392 |
|---|---|
| Doing Business As | BUCKINGHAM SPORTS MEDICINE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ERIC M KEPHART Owner 267-980-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |