| NPI | 1124043872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI L FLECK Office Manager 619-443-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A66677) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-09-11 |