| NPI | 1346727682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD STOWELL Owner 209-948-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |