NPI | 1417220138 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BOHLMAN President 559-417-7743 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94482) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94481) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2012-02-10 |