| NPI | 1518222132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DURMAN WILLIAM MOOSE President/Owner 704-372-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NC 32543) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |