SME INDIANA PC

COLUMBIA, MO
NPI1932663184
Entity TypeOrganization
Authorized ContactOLUBUSOLA BRIMMO
Owner
678-977-5507
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2019-01-22
Last Update Date2019-02-25
Business Address
SME INDIANA PC
5728 PERGOLA DR APT 207
COLUMBIA, MO 65201-2897
Phone number: 678-977-5507
Mailing Address
SME INDIANA PC
4321 COLLINGTON RD
BOWIE, MD 20716-2259
Phone number: