| NPI | 1780631812 |
|---|---|
| Doing Business As | SYCAMORE PRIMARY & SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW KELLAR Regional Practice Administrator 765-457-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-11-16 |