| NPI | 1073619060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES SOUTHMAYD Physician 209-948-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A5298) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-08-26 |