| NPI | 1063825297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER M. SMITH CFO 925-251-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-02-05 |