Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI # | 1821343393 |
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| LBN Legal business name | ARLINGTON FAMILY MEDICAL AND WELLNESS CENTER PC | ||||||||
| Authorized official | KURT PRICE - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/19/2012 | ||||||||
| Last updated | 08/14/2014 - About 12 years ago | ||||||||
| Identifiers |
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