| NPI | 1871769000 |
|---|---|
| Doing Business As | DR CHAMPLIN'S ANNEX |
| Entity Type | Organization |
| Authorized Contact | CINDY ADGE Office Manager 916-676-1450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA10071) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2009-01-22 |