NPI | 1598234452 |
---|---|
Doing Business As | PAC SURGICAL |
Entity Type | Organization |
Authorized Contact | DERRICK STEPHAN Owner/Provider 949-338-3133 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2018-11-20 |
Last Update Date | 2024-09-18 |