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 |