Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1669582896 |
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| LBN Legal business name | JAIME D MURCIA MD | ||||||||||||||||
| Authorized official | JAIME MURCIA - (MEDICAL DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 08/30/2006 | ||||||||||||||||
| Last updated | 01/11/2017 - About 9 years ago | ||||||||||||||||
| Identifiers |
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