| NPI | 1831388313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE KROEKER Office Manager 805-434-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G58221) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2010-11-29 |