| NPI | 1881868214 |
|---|---|
| Doing Business As | UNIVERSITY PHYSICIANS PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2018-08-22 |