Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1407939721 |
||||
| LBN Legal business name | FAMILY PRACTICE ASSOCIATES INC | ||||
| Authorized official | SUSAN MILLER - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/23/2006 | ||||
| Last updated | 10/18/2007 - About 19 years ago | ||||
| Identifiers |
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