| NPI | 1104818582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BENJAMIN BOVELL Owner 301-292-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0020121) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-01-23 |