Organization
CASCADE CARDIOVASCULAR SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD STOWELL MD (OWNER)
(209) 948-1234
Entity
Organization
Contact information
Practice address
1617 N CALIFORNIA ST STE 1D, STOCKTON, CA 95204-6117
(209) 948-1234
Mailing address
1617 N CALIFORNIA ST STE 1D, STOCKTON, CA 95204-6117
(209) 948-1234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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