| NPI | 1366527889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LACEY MCCORMICK Secretary 530-888-1016 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-09-23 |