| NPI | 1861845802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANVAR CEO 866-215-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-04-07 |