| NPI | 1639345960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WATTLE Office Manager 209-575-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A82720) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |