| NPI | 1639352412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD LOWREY Owner 740-687-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35050265) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |