| NPI | 1114358744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEBLANC Owner 707-499-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA 20A-9669) |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2013-12-08 |