| NPI | 1700870516 |
|---|---|
| Former Legal Business Name | ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS CHTD |
| Entity Type | Organization |
| Authorized Contact | RANDY JOHNSON Clinic Administrator 913-319-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-01-21 |