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 |