| NPI | 1457875023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J. HOLMES Office Manager/Admin 619-334-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A91047) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |