| NPI | 1477789733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART A BUSSEY Physician 925-934-7691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |