NPI | 1225243785 |
---|---|
Doing Business As | TEAYS VALLEY ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | JEFFREY H. GOODE President 304-388-7782 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 1664) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WV 1664) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2012-06-13 |