NPI | 1134490311 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS RALEY Principal 703-522-2727 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101243103) |
Enumeration Date | 2012-01-20 |
Last Update Date | 2012-01-20 |