| NPI | 1336907450 |
|---|---|
| Doing Business As | NORTH FORK ORTHOPEDIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JESSE DYLAN CHLEBECK Owner 208-595-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-04-09 |