NPI | 1689701542 |
---|---|
Doing Business As | STRATHMOOR PEDIATRICS |
Entity Type | Organization |
Authorized Contact | DWAYNE EDWARD JOHNSON President 502-458-2577 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 28666) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |