NPI | 1942371422 |
---|---|
Other Name | CK CHEMPLAVIL MD PC |
Entity Type | Organization |
Authorized Contact | TRACY TALBOTT Medical Biller 702-735-4094 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NV 4180) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-09-20 |