NPI | 1649941758 |
---|---|
Entity Type | Organization |
Authorized Contact | RORY GARGUS Owner 520-869-4909 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2021-09-28 |
Last Update Date | 2021-09-28 |