| NPI | 1699314369 |
|---|---|
| Doing Business As | AFFORDACARE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TRACE GEORGE COO 325-701-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-01-03 |