| NPI | 1891039517 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAVID BLACKMON CFO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |