| NPI | 1720120116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E ROCKSTROH Credentialing Specialist 707-521-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-07-21 |