| NPI | 1386899268 |
|---|---|
| Doing Business As | HEATHER STONE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EMANUEL ROBERTS President 760-446-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2014-10-30 |