NPI | 1629249560 |
---|---|
Doing Business As | HAZARD CLINIC |
Entity Type | Organization |
Authorized Contact | MITCHELL WICKER Owner 606-439-1316 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 21790) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-08-11 |