NPI | 1093069395 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES T SUTTON Dr 386-274-0250 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2012-11-08 |
Last Update Date | 2012-11-08 |