| NPI | 1053590737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE D TOLER Office Manager 209-951-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA G37345) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: CA G37345) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2020-03-13 |