| NPI | 1568406999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER PAUL ROGALSKI Pres Sec Etc 775-841-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G71822) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 6391) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 6391) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G71822) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-01-04 |