NPI | 1700079241 |
---|---|
Doing Business As | JACK C NICHOLS II |
Entity Type | Organization |
Authorized Contact | JACK C NICHOLS President Of Corporation 530-246-2430 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G35731) |
Enumeration Date | 2007-08-18 |
Last Update Date | 2008-05-06 |