| 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 |