NPI | 1649646332 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES B DAVIS Executive Director 618-257-4644 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |