| NPI | 1215024484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDO J PIOVESAN Owner 541-290-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OR PA00885) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-07-31 |