NPI | 1891854188 |
---|---|
Former Legal Business Name | DRS STEVE & KELLIE MDVIP PRACTICE, INC |
Entity Type | Organization |
Authorized Contact | KELLIE BOBBITT SMALDORE Owner/Physician 443-371-4940 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-12-06 |
Last Update Date | 2023-08-17 |