NPI | 1770897977 |
---|---|
Former Legal Business Name | SYLVARA FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KAREN A SYLVARA Owner 660-665-5570 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 101191) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2010-07-29 |