NPI | 1811412729 |
---|---|
Doing Business As | CORNUCOPIA HEALTH |
Entity Type | Organization |
Authorized Contact | CORPIA KEYES President/Medical Director 866-375-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2017-08-11 |
Last Update Date | 2020-05-14 |