| NPI | 1902073232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A MITCHELL Billing Service 858-220-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2018-12-21 |