| NPI | 1033403035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HAGER JOHNSON Office Manager 859-497-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 35313) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |