NPI | 1710543467 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY A RHODES Authorized Official/President 925-932-6330 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-05-17 |