NPI | 1073103487 |
---|---|
Doing Business As | RED BLUFF ALTERNATIVE FAMILY MED |
Entity Type | Organization |
Authorized Contact | JED GRAHAM Owner 864-993-1984 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-01-20 |
Last Update Date | 2021-01-20 |