| NPI | 1659556603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. GOODWIN Owner/Physician 606-325-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 28576) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-11-28 |