| NPI | 1780696856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TANG Physician 479-750-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AR E4212) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |