| NPI | 1982075909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY H DILLARD Owner 800-363-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD28838) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |