| NPI | 1497071302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DAVID SWANN President 925-899-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: CA G69836) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |