NPI | 1386910321 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN MICHAEL JENKINS President 909-985-2874 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 20A4451) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2015-02-04 |