| NPI | 1154553477 |
|---|---|
| Doing Business As | NORTHSIDE ORTHOPEDIC |
| Entity Type | Organization |
| Authorized Contact | HERBERT VICTOR RACHELSON President 505-332-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |