| NPI | 1922570035 |
|---|---|
| Doing Business As | SA RIVERWEST CLINIC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA FOSS Director 779-696-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |