| NPI | 1639454713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF EPPERSON CFO 800-968-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-24 |