Organization
CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EDWARD WARD MD (PRESIDENT)
(916) 733-0660
Entity
Organization
Contact information
Practice address
3855 J ST, SACRAMENTO, CA 95816-5520
(916) 733-0660
(916) 733-0665
Mailing address
3855 J ST, SACRAMENTO, CA 95816-5520
(916) 733-0660
(916) 733-0665
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0049280
—
CA
Enumeration date
07/11/2006
Last updated
12/05/2008
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