NPI | 1538574660 |
---|---|
Doing Business As | CLOVIS PEDIATRIC GROUP |
Entity Type | Organization |
Authorized Contact | AMAR SIDDIQUE President 559-908-4852 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A93835) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A93835) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2021-06-20 |