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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1508201013 |
| LBN Legal business name | ADVANCED MEDICAL HOUSE CALLS, PLC |
| Authorized official | MARK WILKERSON - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/10/2013 |
| Last updated | 07/06/2018 - About 8 years ago |
| Identifiers | n/a |
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ADVANCED MEDICAL HOUSE CALLS, PLC