| NPI | 1821394875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HURST President Of Corporation 209-833-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A8081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8081) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |