| NPI | 1467502971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LAWRENCE HENNRIKUS President 559-324-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A41574) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |