| NPI | 1598711103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT BIETZ Administrator 707-963-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-03-10 |