| NPI | 1407461593 |
|---|---|
| Doing Business As | ORTHOPAEDIC & SPORTS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MACKENZIE HAHN Ncpdp Coordinator 888-590-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |