| NPI | 1124662952 |
|---|---|
| Former Legal Business Name | THE SPINE CENTER AT VALLEY VIEW |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING CFO 970-384-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2023-12-14 |