| NPI | 1336120278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE L PAUTZ Office Manager 760-245-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A7163) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2021-12-27 |