| NPI | 1831550854 |
|---|---|
| Doing Business As | SPORTS, ORTHOPEDICS & SPINE |
| Entity Type | Organization |
| Authorized Contact | KEITH D NORD President/Medical Doctor 731-427-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-06-24 |