| NPI | 1437185717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C. SULLIVAN President 619-686-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A41748) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |