A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1740444157 |
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| LBN Legal business name | PRIMA MEDICAL FOUNDATION | ||||||||||||
| Authorized official | JOEL CRISTE - (CEO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 07/15/2008 | ||||||||||||
| Last updated | 08/14/2012 - About 14 years ago | ||||||||||||
| Identifiers |
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