| NPI | 1639268667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ROCKSTROH Credentialing Specialist 707-521-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 25179) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-04-08 |