| NPI | 1912461344 |
|---|---|
| Doing Business As | INTRUST MEDICAL |
| Entity Type | Organization |
| Authorized Contact | GENIA MOORE Practice Manager 346-907-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-03-15 |