| NPI | 1245500321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREY A PHILBRICK Owner 325-726-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00036145) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |