| NPI | 1033550504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L CRAWFORD President 270-415-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |