| NPI | 1255540241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE WATERBURY Physician Owner 916-689-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A90991) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-04-04 |