| NPI | 1063574234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ELIZABETH GRIER Billing Coordinator 559-438-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 8091) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-04-29 |