| NPI | 1962625251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W PERRY President 916-273-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A87534) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |