| NPI | 1316216971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHERER WADE President 559-436-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G44659) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |