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 |