NPI | 1306466289 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY M LEGG Credentialing 347-584-8903 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |