| NPI | 1649576034 |
|---|---|
| Other Name | GREATER NEWPORT PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | ANDREA DECORO Director Of Pharmacy Clinical Serv 949-574-4413 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA BT30034380) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |