| NPI | 1396029153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D WISEMAN President 559-627-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G79867) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-10-12 |