| NPI | 1912772336 |
|---|---|
| Doing Business As | ALLY CLINICS MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | AMELIE CORINNE WAGNER Chief Executive Officer 408-757-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-09-01 |