| NPI | 1831381292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LYNN CUSHING Physician 805-549-7843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A45253) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |