| NPI | 1932479409 |
|---|---|
| Doing Business As | PARK CITY PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LUDWIG SPINELLI Chief Executive Officer 203-696-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0388) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |