NPI | 1568865939 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN MOELLEKEN President/CEO 805-563-3307 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |