| NPI | 1750502134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P. WALLS Owner 775-888-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 6610) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |