| NPI | 1942289889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAM POTTMEYER President 530-243-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 00G515970) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |