NPI | 1669586020 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW SCHUEREN V.P. Finance 888-562-5442 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-08-19 |
Last Update Date | 2017-12-06 |