| NPI | 1174862015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JERNBERG President 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2014-01-27 |