| NPI | 1407803323 |
|---|---|
| Former Legal Business Name | RICHARD J DECLUSIN, MD, PHD, APC |
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN DECLUSIN President 805-988-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |