| NPI | 1871606251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ANDREW GALLERY Owner 209-385-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G66256) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-05-28 |