| NPI | 1174526487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATTHEW GABRIEL President 502-721-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 31883) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 32683) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00251) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-08-17 |