NPI | 1558754598 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON CLARK Owner 925-350-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 551003) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A103633) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |