| NPI | 1063531176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K PUNCHES Office Manager 925-460-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G41112) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |