| NPI | 1619708823 |
|---|---|
| Doing Business As | VINEYARD MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DESTINY BRUMMETT Clinic Administrative Assistant 623-234-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |