| NPI | 1659610236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT MURRAY Partner 916-792-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A71660) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: A71660) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2013-12-10 |