| NPI | 1558515882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL S WYCKOFF Administrator 707-525-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C36737) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2009-06-08 |