Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1306168398 |
| LBN Legal business name | CORPORATE HEALTH DEMENSIONS, INC |
| Authorized official | STEPHANIE LARSON - (BILLING OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/18/2010 |
| Last updated | 02/18/2010 - About 16 years ago |
| Identifiers | n/a |
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