| NPI | 1871958157 |
|---|---|
| Doing Business As | BRECKINRIDGE NEUROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA F PORTMAN CEO 270-756-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |