| NPI | 1780252643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYON A HOOD President 855-224-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-08-19 |