| NPI | 1710453253 |
|---|---|
| Doing Business As | OLIVER ROAD ORTHOPEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANET L JUSTICE Director Of Operations 318-807-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-05-18 |