NPI | 1174324594 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE HURD Owner 772-403-7640 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-03-21 |
Last Update Date | 2025-03-28 |