| NPI | 1487825113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL BRICCA President 916-772-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A070396) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-10-30 |