NPI | 1992758882 |
---|---|
Former Legal Business Name | THE CONRAD PEARSON CLINIC |
Entity Type | Organization |
Authorized Contact | JERRY LEE Market President 901-252-3400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208800000X Urology (Licence: TN n/a for the group) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2025-06-24 |