NPI | 1740649334 |
---|---|
Doing Business As | USA PEDIATRIC DEVELOPMENTAL |
Entity Type | Organization |
Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Enumeration Date | 2016-02-11 |
Last Update Date | 2022-07-21 |