| NPI | 1689627812 |
|---|---|
| Doing Business As | MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO VP CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01024987A) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-03-09 |