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 |