| NPI | 1700634078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |