| NPI | 1659522316 |
|---|---|
| Professional Name | R. JUSTIN MISTOVICH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35.124464) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT193836) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.124464) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-11-30 |