NPI | 1265821193 |
---|---|
Doing Business As | WRMC ORTHOPAEDIC AND SPORTS MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2015-01-15 |
Last Update Date | 2024-05-07 |