NPI | 1508153743 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE M. MARTINSON Physician 870-423-3774 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR N7648) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2011-09-16 |