| NPI | 1710146824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A MILLSAP Owner 541-408-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-10-17 |