| NPI | 1568848224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M THUNDER President 858-535-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other Orthopedic Assistant |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2018-05-31 |