NPI | 1164847273 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT BRUCE Physician Assistant 408-448-3693 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA20241) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-02-26 |