NPI | 1629311253 |
---|---|
Doing Business As | WESTSIDE FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | STUART R HILL VP, Treasurer 501-380-1004 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2013-04-02 |
Last Update Date | 2023-01-11 |