| NPI | 1669578340 |
|---|---|
| Former Legal Business Name | CORNERSTONE FAMILY PRACTICE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT M. MCGREW Director 209-524-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-10-16 |