Organization
NORTHERN CALIFORNIA MINIMALLY INVASIVE CARDIOVASCULAR SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMZI DEEIK MD (PRESIDENT)
(707) 255-8825
Entity
Organization
Contact information
Practice address
500 DOYLE PARK DR, SUITE G-05, SANTA ROSA, CA 95405-4558
(707) 576-7100
Mailing address
3010 BEARD RD, NAPA, CA 94558-3442
(707) 255-8825
(707) 252-9325
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A79076
CA
Other
Enumeration date
05/14/2012
Last updated
09/05/2012
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