| NPI | 1730888199 |
|---|---|
| Former Legal Business Name | MD1 MEDICAL CARE, PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | BRIAN BUCKLEY Revenue Cycle Director 844-553-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |