| NPI | 1760789762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L BIGELOW Owner 209-524-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 20A11567) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2013-01-07 |