| NPI | 1669596748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MAXWELL Owner 916-965-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A78656) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |