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 |