NPI | 1679041172 |
---|---|
Doing Business As | AMERICAN RIVER PEDIATRIC AND ADOLESCENT MEDICINE |
Doing Business As | JONATHAN THYGESON MD INC |
Entity Type | Organization |
Authorized Contact | JONATHAN E THYGESON Md/Owner 916-924-8754 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2018-11-02 |
Last Update Date | 2021-04-05 |