| NPI | 1356587497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI M BONISKE Billing Consultant 559-732-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2014-05-21 |