| NPI | 1629356969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MUSIC Director Pe; Authorized Official 877-892-9815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2024-07-11 |