NPI | 1548750144 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD R PETERSON CEO 916-425-3447 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA G22928) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G22928) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2018-05-18 |