| NPI | 1609096882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN Y WILLIAMSON Practice Manager 209-845-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA FNP35858) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |