| NPI | 1902984966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW PACKARD President 662-624-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 19744) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-03 |