| NPI | 1699954008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L. DEGRUCCIO Owner/Provider 502-762-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 29694) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |