NPI | 1336438803 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD DONALD SIMMONS Owner 716-882-0035 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 177174) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 007834) |
363AS0400X Physician Assistant, Surgical (Licence: NY 007619) | |
Enumeration Date | 2011-04-05 |
Last Update Date | 2012-03-22 |