| NPI | 1134204621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED SHIVERS COO 415-476-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 2086X0206X Surgery Surgical Oncology | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |