| NPI | 1538490016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. LYNN PHILLIPS Owner 746-664-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2011-04-15 |