| NPI | 1710457361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY A DEWALD Director Of Business Services 707-525-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |