NPI | 1518782234 |
---|---|
Doing Business As | PROSPER MEDICAL |
Entity Type | Organization |
Authorized Contact | JAMES WANTUCK President 650-485-3759 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2024-11-18 |
Last Update Date | 2024-11-18 |