| NPI | 1891734729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R RENDON M.D./Owner 208-287-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: ID M9105) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-02-21 |