NPI | 1780986125 |
---|---|
Entity Type | Organization |
Authorized Contact | DEXTER T TODMANN Physician 800-709-2796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 22067) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |