NPI | 1871754127 |
---|---|
Doing Business As | DAYTON FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | HOWARD R BROCK Owner 423-570-7005 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000036269) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2015-06-29 |