NPI | 1750900247 |
---|---|
Doing Business As | BRISTOL ADVANCED ILLNESS |
Entity Type | Organization |
Authorized Contact | MARK L PHILLIPS National Director Of Physicians 435-862-6143 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-04-14 |
Last Update Date | 2020-06-10 |