| NPI | 1750751442 |
|---|---|
| Doing Business As | BRMC HOMETOWN CLINIC AT MOUNTAIN VIEW |
| Entity Type | Organization |
| Authorized Contact | RON PETERSON CEO 870-508-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A440508) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-15 |