| NPI | 1538333679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAT G CHAIKHOUTDINOV President 209-479-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 240497) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-09-12 |