NPI | 1568477123 |
---|---|
Doing Business As | TWIN LAKES ORTHOPAEDICS & SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | RUSSELL B. RAULS Authorized Official 870-424-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2006-07-30 |
Last Update Date | 2024-09-09 |