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 |