| NPI | 1205186061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY MOSHER Director Of Athletics 559-278-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |