| NPI | 1811398761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE T GIPE President & General Partner 888-761-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G42382) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |