1588114201 NPI Owner Practice Location
NPI : 1588114201
Status: Deactivated (CMS Deactivated NPI)
Deactivation Date: 01/22/2026
CMS deactivated NPI 1588114201.
The provider can no longer use this NPI.
HIPAASpace.com public NPI registry does not display provider information about NPIs that are not in service.