NPI | 1477238681 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH SCRIVEN Credentialing 916-663-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
Enumeration Date | 2023-06-16 |
Last Update Date | 2023-06-16 |