| NPI | 1811018831 |
|---|---|
| Former Legal Business Name | COLISEUM EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | WILLIAM APPLEGATE Interim Pres, Wfu Health Sciences 336-716-4424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-03-05 |