NPI | 1609453000 |
---|---|
Doing Business As | PREMIER MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | VISHRUTA K PATEL Manager 304-952-2658 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-03-24 |
Last Update Date | 2021-05-12 |