NPI | 1962108118 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN C MITCHELL Credentialing Manager 502-225-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 2084B0002X Psychiatry & Neurology, Bariatric Medicine |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-01-31 |