NPI | 1114007432 |
---|---|
Doing Business As | CHILDRENS SPECIALIST MEDICAL GROUP OF SACRAMENTO |
Entity Type | Organization |
Authorized Contact | ANDREW WERTZ President/CEO 916-736-6470 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA 105882) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-24 |