NPI | 1043203102 |
---|---|
Other Name | REGENTS/UCDPBG/IMGASTRO |
Entity Type | Organization |
Authorized Contact | TAMMY TROVATTEN Vice President, Gov't Reimbursement 916-855-2315 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2005-08-24 |
Last Update Date | 2025-05-16 |