| NPI | 1023325347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANNA R JOHNSON Practice Manager 530-891-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G86463) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G52675) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |