| NPI | 1689226649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY A DEWALD Business Services Manager 707-525-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |