| NPI | 1679774319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GENE WEAKLEY President 209-525-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C36554) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |