NPI | 1801218805 |
---|---|
Doing Business As | GREAT BASIN ORTHOPAEDICS |
Entity Type | Organization |
Authorized Contact | THOMAS M FYDA President 775-786-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV19701001146) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV NV19701001146) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2023-10-19 |