Ultimate Sports & Orthopaedics
Orthopaedic Surgery in Apple Valley, CA. Organization (NPI-2).
NPI number1790796480
StatusActive
Last updated in NPPESFeb 27, 2013
Details
- NPI
- 1790796480
- Entity type
- Organization (NPI-2)
- Legal business name
- Ultimate Sports & Orthopaedics
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Feb 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Other names
- Summit Orthopaedic Associates (Former Legal Business Name)
Practice location
15990 Tuscola RdApple Valley, CA 92307-2111
Phone 760-242-4808 · Fax 760-242-4889
Mailing address
15990 Tuscola RdApple Valley, CA 92307-2111
Phone 760-242-4808 · Fax 760-242-4889
Authorized official
Samuel Henry Rice
President
7602424808
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All 14 Orthopaedic Surgery Physician providers in Apple Valley · All 2,027 providers in Apple Valley
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