| NPI | 1912165887 |
|---|---|
| Doing Business As | LIVE OAK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH M COULTER Executive Director 530-741-6245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |