| NPI | 1699933747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R MORALES President 757-547-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101030584) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |