| NPI | 1154702892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY AARON SWEAT Doctor Of Medicine 916-925-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A95293) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |