| NPI | 1811284870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LEER Office Manager 925-362-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A82314) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A065099) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA OPA16571) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2012-12-07 |