| NPI | 1841240454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL L LOESCHER Billing Manager 916-451-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-09-22 |