| NPI | 1821840273 |
|---|---|
| Doing Business As | GRANITE PULMONARY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P BACON Owner 916-305-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |