| NPI | 1629386867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PARDINI Practice Administrator 415-461-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A46290) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |