| NPI | 1669764205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C. LILLEY Partner 909-593-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A45892) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C28115) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G81163) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G61462) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO A100701) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2020-02-03 |