| NPI | 1427395011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENELL ROUSSELL Office Manager 909-625-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A35229) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |