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 Clinic/Center | |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2010-02-02 |
Last Update Date | 2023-03-15 |