| NPI | 1598777468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEO POLIO President Of Psc 270-683-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-02-20 |