| NPI | 1972866457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT VICTOR ALLEN President 251-665-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD9362) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |