| NPI | 1306867213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MYERS Practice Manager 916-983-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G59349) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-11-25 |