| NPI | 1912144791 |
|---|---|
| Doing Business As | SAINT JOSEPH BEREA FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KANDI R REA Physician Credentialing 606-330-3404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |