NPI | 1548565773 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT VICTOR ALLEN President 251-665-5127 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD9362) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2012-06-18 |