| NPI | 1922507474 |
|---|---|
| Doing Business As | ROCKFORD RETINA CLINIC |
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL Chief Executive Officer 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-02-05 |