NPI | 1053429969 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH RICHARD BROOKS President/CEO 707-645-7229 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 00A0627550) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-12-29 |