| NPI | 1164941381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GARBER Partner 702-835-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2021-12-13 |