| NPI | 1821271545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J DOUGLAS BUTLER Medical Director 410-848-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA SC001699L) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |