| NPI | 1942507009 |
|---|---|
| Doing Business As | MONTEITH AUSTIN, MD- HANFORD CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFF M. CONKLIN President 916-789-4209 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-06-07 |