| NPI | 1801067202 |
|---|---|
| Doing Business As | PEDIATRIC CONSULTANTS LAFOLLETTE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA B MARQUART Vice President 865-305-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |