| NPI | 1780813741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CARPENTER Owner 541-567-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |