NPI | 1831791664 |
---|---|
Doing Business As | FIDUS PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | PAMELA TAMBINI Owner 408-234-9746 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |