NPI | 1477640464 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCIS M. DAWSON Provider 805-497-4974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G32734) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G33376) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2018-06-21 |