NPI | 1700519923 |
---|---|
Doing Business As | SECOND PHOENIX RECOVERY CLINIC |
Doing Business As | DAVID MEDICAL SERVICES, PLLC |
Entity Type | Organization |
Authorized Contact | RYAN DOUGLASS HERRINGTON Senior Physician Advisor 614-256-5071 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-06 |