| NPI | 1588841142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS ROBERT WESTPHAL Owner 530-345-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G50664) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G50664) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2012-04-27 |