| NPI | 1316520034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE A POTTER Credentialing Manager 925-948-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |