| NPI | 1164260741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA D BROWN Director Of Operations 510-381-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |