| NPI | 1841471166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL PHILIP CARTER President/Physician 209-239-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G35573) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-06-17 |