| NPI | 1184812976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY L CONYERS President 805-962-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G23741) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |