NPI | 1992164750 |
---|---|
Doing Business As | ST BERNARDS FIRST CARE- HILLTOP |
Entity Type | Organization |
Authorized Contact | JOHN LIBELONG VP Physician Services 870-932-7024 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-02-22 |
Last Update Date | 2016-02-22 |