| NPI | 1245290899 |
|---|---|
| Former Legal Business Name | UNIVERSITY AVENUE ORTHOPAEDIC MEDICAL ASSOC INC |
| Entity Type | Organization |
| Authorized Contact | DREW ALAN PETERSON Partner 619-291-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2021-03-24 |