| NPI | 1881092963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL GORDON STERN President 559-443-2682 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-09-04 |