NPI | 1790333235 |
---|---|
Former Legal Business Name | SCHOOL BASED URGENT CARE NETWORK PA |
Doing Business As | HAZEL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | ROBERT DARZYNKIEWICZ President 530-913-2197 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207P00000X Emergency Medicine |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-08-28 |
Last Update Date | 2022-01-19 |