NPI | 1538521125 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL SLOOP President 530-809-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G61004) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G63549) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2016-03-23 |