NPI | 1982650164 |
---|---|
Doing Business As | SYCAMORE PEDIATRICS & ADOLESCENTS |
Entity Type | Organization |
Authorized Contact | ANDREW KELLAR Regional Practice Administrator 765-457-8381 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-11-16 |