NPI | 1184018491 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA JEAN SMITH Office Manager 419-517-7505 |
Organization Subpart ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35087835) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2019-10-16 |