| NPI | 1750369203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW V DZURIK President, Ccpn 682-885-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2024-01-16 |