NPI | 1770910325 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRBY MCKAGUE CFO 916-865-1790 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2013-09-27 |
Last Update Date | 2013-09-27 |