| NPI | 1831486653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE A. DONNELLY Specialist, Contract Compliance 707-968-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |