| NPI | 1982798096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E ROCKSTROH Credentialing Specialist 707-521-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-07-21 |