| NPI | 1720018898 |
|---|---|
| Doing Business As | PHOENIXVILLE FAMILY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GARY CONNER VP & CFO 484-628-8181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-03-26 |