| NPI | 1689618241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS P. WEBSTER President/Owner 800-732-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-02-01 |