| NPI | 1427110691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J LAWRENCE DEPOLO President 209-948-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A22978) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |