| NPI | 1780814202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D CALHOUN Office Manager 410-749-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2021-06-24 |