| NPI | 1215083035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ROLAND TAVERNETTI Owner 415-923-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A23135) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-04-09 |