| NPI | 1750511440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHANNON LAWLER Physician 415-492-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A69218) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2011-06-01 |