| NPI | 1558698506 |
|---|---|
| Former Name | DANA L MAYHUGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: CO SA.0001178) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2014-11-11 |