NPI | 1750774030 |
---|---|
Doing Business As | CARE FIRST PHYSICIANS LETOURNEAU |
Entity Type | Organization |
Authorized Contact | MOUZON BASS Agent 808-956-6505 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2015-03-11 |
Last Update Date | 2015-03-11 |