| NPI | 1831486968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MANLEY STEWART Owner 985-384-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 202543) |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2012-04-13 |