| NPI | 1720759871 |
|---|---|
| Doing Business As | PRIDE SPORTS MEDICINE |
| Doing Business As | PSM |
| Entity Type | Organization |
| Authorized Contact | GABRIEL CARPIO-BRACHO President 559-944-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-07-06 |