| NPI | 1679572804 |
|---|---|
| Doing Business As | SANTA ROSA FAMILY PRACTICE RESIDENCY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D CRISCUOLOHIGGINS Program Director 210-703-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-07-21 |