| NPI | 1821320730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU E ROMIG President 800-424-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261Q00000X | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2023-03-15 |