NPI | 1710470265 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA STEWART Owner 765-271-5913 |
Organization Subpart ? | No |
Primary Taxonomy | 2080T0002X Pediatrics, Medical Toxicology (Licence: IN 01060986) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2024-08-27 |