Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1306002563 |
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| LBN Legal business name | UNIVERSITY HEALTH SERVICE | ||||
| Authorized official | GREGORY MOORE - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/06/2008 | ||||
| Last updated | 08/06/2008 - About 18 years ago | ||||
| Identifiers |
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