| NPI | 1669640496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI FOX Director Of Operations 501-500-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2021-06-24 |