| NPI | 1114191954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETER DICKENS Physician 916-457-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A55172) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |