| NPI | 1033288717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEITH Owner 606-324-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-03-19 |