| NPI | 1962216887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULIN SARGEANT Owner 877-254-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-13 |