| NPI | 1003684846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SIMMONDS President/Physician 877-811-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-01-10 |