| NPI | 1841366010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGROY M STANLEY Corporate Officer 541-296-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-03-19 |