| NPI | 1841956638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CLERMONT CEO 866-411-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |