| 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 |