NPI | 1760671762 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM TOM FOGARTY President 800-232-3550 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2007-10-16 |
Last Update Date | 2010-07-01 |