| NPI | 1891718151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT F BERGQUIST President 256-739-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 6543) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 14798) |
| 213E00000X Podiatrist (Licence: AL 191) | |
| 213E00000X Podiatrist (Licence: AL 173) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: AL 00027474) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-04-24 |