| NPI | 1659491421 |
|---|---|
| Doing Business As | CAMILLUS FAMILY HEALTH ASSOC |
| Entity Type | Organization |
| Authorized Contact | LELAND J JACKSON Owner 315-234-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-11-29 |