| NPI | 1780998963 |
|---|---|
| Doing Business As | INNOVATIVE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN V BARTON Director 888-447-2450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2012-05-31 |