NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902131287 |   |   |   | TAHOE ORTHOPEDICS & SPORTS MEDICINE, INC. | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |
1982018503 | BOWLIN | WILLIAM | BARRETT |   | 920 STANTON L YOUNG BLVD WP-1380 | OKLAHOMA CITY | OK | 731045036 |
1467890590 | BURKARD | GREGORY | PAUL |   | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |
1053450072 | CHILD | ZACHARY | A |   | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |
1770911620 | O'BANNON | LYDIA | B |   | 3001 EDWARDS MILL RD | RALEIGH | NC | 276125243 |
1962792952 | ORR | JEFFREY | A |   | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |
1871584276 | ORR | TERRENCE | R |   | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |
1225561939 | WILLIAMSON | TYLER |   |   | PO BOX 11889 | ZEPHYR COVE | NV | 894483889 |