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] | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1821392093 |
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| LBN Legal business name | HOME TOWN HEALTH | ||||||||
| Authorized official | WESTON DENT - (REGISTERED AGENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/03/2011 | ||||||||
| Last updated | 01/03/2011 - About 15 years ago | ||||||||
| Identifiers |
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HOME TOWN HEALTH
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