NPI | 1831529551 |
---|---|
Entity Type | Organization |
Authorized Contact | M. KATHERINE SORENSON Vice President, Practice Management 9259-522-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2013-11-15 |
Last Update Date | 2013-11-15 |