NPI | 1245251495 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL FITZPATRICK Md 530-271-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 00A635230) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 00G25383) |
207R00000X Internal Medicine (Licence: CA 00G25383) | |
363A00000X Physician Assistant (Licence: CA 0PA146110) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |