| NPI | 1881019610 |
|---|---|
| Other Name | OURCLINIC @ CNO PHILLY |
| Entity Type | Organization |
| Authorized Contact | JEFFERY M WELLS MD President 317-522-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2018-10-15 |