| NPI | 1336920016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D. SANTROCK Owner 304-216-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |