| NPI | 1598940793 |
|---|---|
| Doing Business As | BUC SPORTS/UNIVERSITY PHYSICIANS PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2019-02-15 |