| NPI | 1174550412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIE BAILEY Billing Office Manager 760-322-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 27310) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-12-30 |