| NPI | 1831368919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND R RAYMOND Owner 707-252-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA g9919) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |