Organization
NORTH BAY CARDIAC THORACIC AND VASCULAR SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JONES (BILLING MANAGER)
(707) 255-8825
Entity
Organization
Contact information
Practice address
1860 PENNSYLVANIA AVE, SUITE 110, FAIRFIELD, CA 94533-3590
(707) 429-4278
Mailing address
3010 BEARD RD, NAPA, CA 94558-3442
(707) 429-4278
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
07/15/2014
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