| NPI | 1841858271 |
|---|---|
| Doing Business As | USA PEDIATRIC DEVELOPMENTAL |
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |