NPI | 1477920197 |
---|---|
Other Name | VALLEY CHILDREN'S PRIMARY CARE GROUP - STOCKDALE |
Entity Type | Organization |
Authorized Contact | DAVID CHRISTENSEN President 559-353-3000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-12-30 |