NPI | 1376592014 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ROSS Administrator 916-781-5263 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: CA 030000786) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2013-02-05 |