| NPI | 1922555481 |
|---|---|
| Doing Business As | AIM |
| Entity Type | Organization |
| Authorized Contact | RANDALL WICKERSHAM Mbr 855-432-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |