| NPI | 1457625055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI JONES Billing Manager 707-255-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2014-07-15 |