NPI | 1942231626 |
---|---|
Doing Business As | WINGS CLINIC |
Entity Type | Organization |
Authorized Contact | JAMES O'BRIEN Chairman Of Department 502-562-6783 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
Enumeration Date | 2006-07-05 |
Last Update Date | 2007-09-17 |