| NPI | 1023311305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN SMALL Office Manager 530-587-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A81163) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2015-06-18 |