NPI | 1639220189 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC JAMES KRAUT President 707-591-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA AS1628) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2008-07-21 |