| NPI | 1326682733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN L PRICE Owner 502-916-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-06-04 |