| NPI | 1225226228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES KRPAN Owner 209-736-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A7650) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5209930001) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2012-10-11 |