| NPI | 1073793030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY M WALKER Billing Manager 954-575-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0069537) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2012-10-18 |