| NPI | 1619166881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILER JOHN SOMMERHAUG CEO 707-766-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G81043) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |