| NPI | 1710926118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ZOELLER Physician 270-737-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-12-04 |