NPI | 1720112246 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL LONG Billing Manager 800-209-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G10128) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |