| NPI | 1982867230 |
|---|---|
| Doing Business As | PLEASANTON FMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAY ALLEN Medical Director 952-653-2528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |