| NPI | 1639786122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEIGHTON HOWARD CEO 888-224-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |