NPI | 1790964013 |
---|---|
Doing Business As | BRACKMAN FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JANE E. CORE Billing Specialist 479-420-3303 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E0055) |
Enumeration Date | 2007-11-02 |
Last Update Date | 2007-11-02 |