| NPI | 1902494693 |
|---|---|
| Former Legal Business Name | SYNERGY SPECIALISTS MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | MEGHAN THOMAS Credentialing Specialist 858-412-6080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-12-23 |