| NPI | 1144488149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLINE A CLEVENGER Biller 209-239-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A067409) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-09-19 |