NPI | 1548205826 |
---|---|
Former Legal Business Name | RIOH - CROSSROADS |
Entity Type | Organization |
Authorized Contact | CALDER BRYCE CONNER CEO 530-226-0310 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: ZZZ35572Z) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2020-08-22 |