NPI | 1396812475 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRENCE WAYNE CROUCH Physician Owner 619-267-1556 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G47259) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2011-01-14 |