| NPI | 1376569657 |
|---|---|
| Doing Business As | UPLAND SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRIAN SPIVACK Partner 909-946-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G67360) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A65402) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA A65402) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G67360) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-06-20 |