| NPI | 1346519139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY J. PETKO CEO/Executive Director 916-558-4800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-03-05 |