| NPI | 1154570935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GRIER Billing COO Rdinator 559-438-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NM PA-04) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |