NPI | 1902420698 |
---|---|
Doing Business As | ORTHOPEDIC AND SPORTS PERFORMANCE INSTITUTE |
Entity Type | Organization |
Authorized Contact | DOUG STEVEN CLOUSE Md/Owner 480-899-4333 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2020-05-29 |
Last Update Date | 2023-01-26 |