| NPI | 1376844753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM HEFFERNAN Manager 415-765-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G85165) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |