NPI | 1649827197 |
---|---|
Doing Business As | PACK FAMILY PRACTICE, PLLC |
Entity Type | Organization |
Authorized Contact | STEVEN HENRY PACK Pa 615-257-7778 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-08-20 |
Last Update Date | 2024-07-02 |