NPI | 1073096566 |
---|---|
Doing Business As | VALLEY HEALTH BERKELEY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RENEE NEVADA JOHNSON Credentialing Coordinator 540-536-0103 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-09-11 |
Last Update Date | 2021-09-23 |