| NPI | 1942620471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER THERMOS Medical Doctor 888-564-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11028) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-06-16 |