| NPI | 1023310489 |
|---|---|
| Doing Business As | PROVIDENCE INLAND ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-02-18 |