| NPI | 1346845120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK LLOYD Owner 888-957-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |