NPI | 1124744966 |
---|---|
Doing Business As | MAVERICK MEDICINE |
Entity Type | Organization |
Authorized Contact | WILLIAM BIANCHI President, Physician 805-450-3214 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Enumeration Date | 2022-10-13 |
Last Update Date | 2022-10-13 |