| NPI | 1720778004 |
|---|---|
| Doing Business As | SHADY GROVE ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | CHUCK GRASMEDER Regional Director Of Operations 240-482-2412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |