| NPI | 1841369329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MUSIC Dir, Provider Enrollment 877-892-9815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207T00000X Neurological Surgery | |
| 207Q00000X Family Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-11-09 |