| NPI | 1982898102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E LAMOUREUX Administrator 909-796-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A78996) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2011-08-23 |