| NPI | 1851120059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WINTERTON Owner 636-237-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |