NPI | 1790831667 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE ANNE WEST Physician Owner 302-731-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: DE C10001669) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |