| NPI | 1902202757 |
|---|---|
| Other Name | CENTEGRA PHYSICIAN CARE DEL WEBB |
| Entity Type | Organization |
| Authorized Contact | DAVID TOMLINSON EVP, CFO & CIO 815-788-5831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |