| NPI | 1053736678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH REED HOLMES DAWSON President 707-841-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A126985) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2016-01-21 |