NPI | 1174565584 |
---|---|
Former Legal Business Name | CARDIAC & THORACIC SURGERY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | ALLEN S MORRIS Secretary/Treasurer 916-733-6850 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 97989) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2020-08-22 |