Individual
SHARI CUI
Active
Individual
SHARI CUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2009017487
MO
207X00000X
Orthopaedic Surgery Physician
26335
WV
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
88654
SC
Other
Enumeration date
07/07/2009
Last updated
10/21/2022
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