| NPI | 1851653174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANNE WINGFIELD Physician/Owner 415-923-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A83480) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |