| 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 |