| NPI | 1881990513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HURST Physician 209-832-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A8081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8081) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2013-02-06 |