| NPI | 1659255164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVA MARSH Owner/Medical Director 747-363-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |