| NPI | 1477611143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RAY TOWNSEND Owner 510-893-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 00C307240) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA 00C307240) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA 00C307240) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA 00C307240) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 00C307240) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |