NPI | 1790798908 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY MC HARRIS President 916-624-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
207QS0010X Family Medicine, Sports Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2006-08-15 |
Last Update Date | 2017-04-04 |