NPI | 1639555170 |
---|---|
Doing Business As | WESTERNU PATIENT CARE |
Entity Type | Organization |
Authorized Contact | KEVIN SHAW CFO/Treasurer 909-469-5401 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: OR 38807996) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2015-08-06 |