| NPI | 1760670988 |
|---|---|
| Doing Business As | PRO HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EDWARD LEONARD AUEN Physician 209-529-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A50019) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2012-11-21 |