| NPI | 1467841593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W BULLIS President 508-646-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MA 78896) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |