| 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 |