NPI | 1437441698 |
---|---|
Doing Business As | WK REGIONAL ORTHOPEDIC AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | GREG J. GAVIN Network Administrator 318-212-8780 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2011-05-06 |
Last Update Date | 2011-12-21 |