NPI | 1962599100 |
---|---|
Doing Business As | PATRIOT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-09 |
Last Update Date | 2011-09-28 |