| NPI | 1194198705 |
|---|---|
| Doing Business As | MD STAT URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | JON MONESS Owner 916-678-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-10-01 |