| NPI | 1134214471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL A NEDLEY Owner 530-422-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 16858) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 1658) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 16858) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-11-15 |