NPI | 1144653528 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD J MACCORMICK President 760-230-2252 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C38688) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2013-08-20 |