| NPI | 1477733624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE M WALKER Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2016-03-03 |