| NPI | 1851523443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY T FENISON President 909-888-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G73330) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |