| NPI | 1841422581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BATHAW Physician/Owner 386-586-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME004566) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2010-08-11 |