| NPI | 1659683969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A YEZERSKI President 270-759-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2012-10-09 |