| NPI | 1437556644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE RENARD Owner 530-226-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA G36415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G36415) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |