| NPI | 1659438513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS MEHIGAN President 510-791-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G16196) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |