| NPI | 1306959887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T PAQUETTE CEO, Providence Health 913-596-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |