| NPI | 1144020348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH BELTZHOOVER Rcm Director 800-678-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |