| NPI | 1306990015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEONARD SEPIOL Preident 209-546-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |