NPI | 1033100854 |
---|---|
Doing Business As | GREENLEY PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ANDREW D. JAHN CEO 209-536-5011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 030000094) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2016-09-28 |