| NPI | 1407322415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M. REED Contract Manager 916-441-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2020-11-17 |