NPI | 1639704323 |
---|---|
Doing Business As | MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KURT STAUDER President 424-529-6755 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
171R00000X Interpreter | |
172V00000X Community Health Worker | |
207QA0401X Family Medicine, Addiction Medicine | |
207QA0505X Family Medicine, Adult Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RP1001X Internal Medicine, Pulmonary Disease | |
Enumeration Date | 2020-03-03 |
Last Update Date | 2024-05-14 |