| NPI | 1679045827 |
|---|---|
| Doing Business As | EXCELA SQUARE FRICK PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RENEE M VARNEY Lead Credentialing Coordinator 724-850-6933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-01-17 |