| NPI | 1326995283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ROY LADNER Owner 228-263-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |