| NPI | 1821039132 |
|---|---|
| Doing Business As | WHITELAND MEDICAL ASSOCIATES FOR PROGRESSIVE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARTIN LEBOUTILLIER Physician 610-738-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-10-01 |