NPI | 1801171491 |
---|---|
Doing Business As | PREMIER CARE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | BENJAMIN J PALOMBO President 318-561-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-10-15 |
Last Update Date | 2011-10-15 |