NPI | 1679180624 |
---|---|
Doing Business As | CROSSROADS TELEMEDICINE PLLC |
Entity Type | Organization |
Authorized Contact | CATHERINE BOHANNAN Office Manager 479-845-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-09-24 |
Last Update Date | 2021-11-30 |