| NPI | 1184650921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MARIE DREEBEN CEO 858-488-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA G67534) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-01-13 |