| NPI | 1740494822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PETER CAMPBELL Owner 559-625-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A72234) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |