| NPI | 1699718312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BENNETT WAMPOLD President 916-782-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A41602) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-08-30 |