| NPI | 1689179756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE CAMPO Do/Physician 800-246-5698 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |