NPI | 1609179589 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL L PATTERSON President 270-465-4677 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 1011DT) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2010-12-14 |