Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X |
| NPI Number | 1699100503 |
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| LBN Legal business name | CASTLE ORTHOPAEDICS AND SPORTS MEDICINE | ||||
| Authorized official | LINDA WALTER - (NURSE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/10/2013 | ||||
| Last updated | 09/16/2013 - About 13 years ago | ||||
| Identifiers |
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