| NPI | 1811242308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACIEY J DRUZDZEL President 1541-247-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR MD18563) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |