| NPI | 1033103676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W FAUSONE President 707-462-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2018-07-31 |