| NPI | 1730704370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTI PALO CEO 985-807-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-04-25 |