| NPI | 1710554936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER President 877-885-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-25 |