| NPI | 1699214130 |
|---|---|
| Doing Business As | PAVILION FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CORENNA HOWARD Practice Manager 207-315-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR 0057738) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-12-13 |