NPI | 1053618835 |
---|---|
Entity Type | Organization |
Authorized Contact | BRET POWERS President 951-270-0882 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A9577) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2011-02-14 |