| NPI | 1457534174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A SKIDMORE Chief Executive Officer 707-573-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 2086S0127X Surgery Trauma Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2012-02-09 |