Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, Federal |
261QP0904X |
| NPI Number | 1306016126 |
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| LBN Legal business name | DILKON MEDICAL CENTER | ||||
| Authorized official | VIRGIL DAVIS - (CHIEF EXECUTIVE OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 03/07/2008 | ||||
| Last updated | 12/01/2025 - About 6 months ago | ||||
| Identifiers |
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