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 |