NPI | 1942610795 |
---|---|
Entity Type | Organization |
Authorized Contact | RON JAMES President 916-512-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A68031) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4947) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-11-03 |