| NPI | 1033412093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW HODGE Member 303-968-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: FL ME 49712) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |