| NPI | 1912199886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TOM FOGARTY President 800-232-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-06-30 |