| NPI | 1689894321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL MICHAEL GOLDBERGER Authorized Official 336-274-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 561316335) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-05-17 |