NPI | 1619407269 |
---|---|
Doing Business As | THE MERIDIAN |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER MICHAEL FUCCI CEO/Owner 480-521-2775 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 5659) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2017-06-15 |