| NPI | 1700275823 |
|---|---|
| Doing Business As | SPORTS ORTHOPEDICS PC |
| Entity Type | Organization |
| Authorized Contact | JEFFERY A BOLLENBACHER Orthopedic Surgeon 812-234-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN IN02001578) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN IN02001578) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |