| NPI | 1639920648 |
|---|---|
| Doing Business As | UNION PRIMARY CARE OF PRINCIPIO |
| Entity Type | Organization |
| Authorized Contact | JUDY RIESEN Corporate Director Of Revenue Cycle 302-623-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |