| NPI | 1861363491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TYRRELL BURRUS Manager 408-284-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |