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 |