| NPI | 1508391178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK LEATHERS President 916-732-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A125866) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |