| NPI | 1851900328 |
|---|---|
| Doing Business As | FOURTH TREE HEALTH |
| Entity Type | Organization |
| Authorized Contact | DANIEL KENNETH HODGE Managing Member, Owner 717-695-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |