NPI | 1821318668 |
---|---|
Doing Business As | FRONTIER MEDICAL HOME-SILL |
Entity Type | Organization |
Authorized Contact | CHARLES CHITTUM Ubo Manager 580-558-2793 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2010-06-03 |
Last Update Date | 2014-02-26 |