| NPI | 1063750297 |
|---|---|
| Doing Business As | PRIMARY CARE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | COLLEEN SUE DUNCAN CFO 530-532-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2022-12-15 |