NPI | 1316048101 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA F DAVIS President 563-355-2210 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IA 29871) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2012-12-14 |