| NPI | 1891737425 |
|---|---|
| Doing Business As | MOUNTAIN EAST FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHUCK LOCKE VP 800-661-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-08-29 |