| NPI | 1447526538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL HANSEN President 360-581-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 7102972-1205) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2013-02-19 |