| NPI | 1144592544 |
|---|---|
| Doing Business As | COLUMBUS ORTHOPEDIC & SPORTS MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHAD E VAN CLEAVE Vice President Finance 402-562-3357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2015-09-24 |