| NPI | 1558855437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A RASKOWSKY Manager 415-491-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A107350) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-01-08 |