| NPI | 1699059113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J BOHANNON President 415-648-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A25795) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |