| NPI | 1255376398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GUNNELL Practice Owner/Head Physician 707-253-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA G78785) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA A62275) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |