| NPI | 1629234562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VOLL Owner 502-454-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |