| NPI | 1316120173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W GORDON WALKER Physician 408-358-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA AW3225249) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-06-17 |