| NPI | 1326207721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON HOWARD CONLEY Owner 760-318-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A69621) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2009-07-09 |