NPI | 1144423468 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIENNE MARIE WALKER Contracts Manager 909-398-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2020-08-22 |