NPI | 1821068164 |
---|---|
Former Legal Business Name | PRAXIS MEDICAL GROUP, INC |
Entity Type | Organization |
Authorized Contact | JESSICA M REAGAN Revenue Cycle Director 541-966-6136 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2006-01-26 |
Last Update Date | 2021-12-15 |