| NPI | 1518907336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA BROPHY Practice Manager 707-546-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-07-14 |