| NPI | 1629091582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR V SOTO Physician 740-354-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-01-29 |