NPI | 1952698185 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH M. RICCIARDI Physician 870-423-3774 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E1571) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2011-07-08 |