| NPI | 1447236237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINETTE M GADWAH Credentialing Coordinator 502-585-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-04-07 |