NPI | 1952865198 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHIE BACON Billing Manager 619-202-6970 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |