NPI | 1932398294 |
---|---|
Doing Business As | IDLEWILD MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH DAVID SPATARO Owner 704-531-0990 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200300091) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2007-10-23 |