| NPI | 1912287699 |
|---|---|
| Doing Business As | SCHOGEL AND FARDO FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE Sr Director Ops 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD051075L) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-10-23 |