| NPI | 1275812091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER L PUTTLER Owner 707-822-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA G13904) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2017-09-12 |