| NPI | 1750348397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A INGALSBE Administrator 163-630-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KS 0419238) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-06-16 |