| NPI | 1619409075 |
|---|---|
| Doing Business As | NEW LEAF PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL STONE CEO 618-416-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-07-28 |