| NPI | 1194136788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI JONES-BARTLEY Administrator 707-255-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G46575) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |