Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Oct 16, 2007
License(s)
57013123 (OH), A118845 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 27206 | Los Angeles, CA 90027-0206 | 213-385-0675 |
| LOCATION | 222 W EULALIA ST SUITE 300 | Glendale, CA 91204-2849 | 818-547-0608 |
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