| NPI | 1831846765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA E MORRIS Sole Member 928-925-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |