| NPI | 1063659530 |
|---|---|
| Doing Business As | BOLIVAR ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | DAVID DILL Director/Officer 662-843-8885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-02-04 |