NPI | 1972641124 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY E LAMOUREUX Administrator 909-796-7803 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A30298) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2011-08-23 |