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 |