| 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 |