| NPI | 1417220609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY HAMMONDS Chief Executive Officer 1619-985-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA G69685) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |