NPI | 1447561162 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN S. WILBUR Medical Director 909-483-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 3281697) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2011-09-19 |