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 |