| NPI | 1871992834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FUHLER Owner 251-378-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |