| NPI | 1629140017 |
|---|---|
| Doing Business As | LVPG FAMILY MEDICINE - SOUTHSIDE |
| Entity Type | Organization |
| Authorized Contact | JAMES DEMOPOULOS VP 484-862-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-12-09 |