NPI | 1144433145 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L BODEN Owner 502-747-5632 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: KY SA044) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |