| NPI | 1891242962 |
|---|---|
| Doing Business As | MISSION SQUARE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | FRANCENE GAYLE Owner 256-655-1491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 25786) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |