NPI | 1851717938 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ROBERT CAMPBELL Owner / Provider 415-491-1210 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A9718) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2019-08-29 |