NPI | 1053722124 |
---|---|
Other Name | CLANCY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN HAROLD CLANCY President 760-305-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 9614) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 9695) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2018-11-19 |