Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 23, 2005
License(s)
0101243739 (VA), MD427153 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 24 CREE DR | Lock Haven, PA 17745-2639 | 570-893-5330 |
| MAILING | 7100 COMMERCE WAY SUITE 180 | Brentwood, TN 37027-2829 | 615-465-7000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.