| NPI | 1396765848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE HAROLD MILLER CEO/Owner 618-288-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036060200) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-06-13 |