| NPI | 1932371507 |
|---|---|
| Other Name | POWAY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSANA GRINDLE Administrator 858-335-4012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-06-16 |