| NPI | 1710385554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY V FOXWELL President 443-477-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2022-02-16 |