| NPI | 1639828981 |
|---|---|
| Doing Business As | BESPOKE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DOUG ANDERSON Owner 662-202-7964 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |