NPI | 1881399426 |
---|---|
Doing Business As | COOK CHILDREN'S PHYSICIAN NETWORK - WEST |
Entity Type | Organization |
Authorized Contact | MATTHEW V DZURIK President 682-885-6122 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
2080P0206X Pediatrics, Pediatric Gastroenterology | |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |