| NPI | 1306354311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ROBERT PRISK Owner 412-525-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-06-22 |