| NPI | 1750323119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BOWEN President 916-779-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-03-18 |