| NPI | 1609561935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORYNNE ANN BOYER Owner/Physician 267-226-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-08-01 |