| NPI | 1538252457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BARRON Practice Manager 209-383-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-03-22 |