NPI | 1659615706 |
---|---|
Doing Business As | SHRINERS CHILDREN'S PHILADELPHIA |
Entity Type | Organization |
Authorized Contact | JERRY G. GANTT President 813-281-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
Additional Taxonomies | 225100000X Physical Therapist |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-01-13 |