| NPI | 1841503034 |
|---|---|
| Other Name | PROVIDENCE ROCHESTER FAMILY MEDICINE (FFS) |
| Entity Type | Organization |
| Authorized Contact | DENISE MARRONI CFO 360-493-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2011-08-09 |