| NPI | 1215225982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R FREEDMAN President 209-532-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A10879) |
| 207X00000X Orthopaedic Surgery (Licence: CA A88661) | |
| 207X00000X Orthopaedic Surgery (Licence: CA C37479) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A45369) | |
| 208600000X Surgery (Licence: CA A53424) | |
| 208600000X Surgery (Licence: CA A50509) | |
| 208800000X Urology (Licence: CA A45369) | |
| 363A00000X Physician Assistant (Licence: CA 12677) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2012-06-14 |