| NPI | 1902131287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE E SWANSON President 530-543-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2023-06-12 |