| NPI | 1891549002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY BOYER Credentialing 209-956-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-09-12 |