| NPI | 1962433680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FITZPATRICK Managing Partner 270-765-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-02-08 |