| NPI | 1386702157 |
|---|---|
| Doing Business As | VAX-D-BACK |
| Entity Type | Organization |
| Authorized Contact | ROBERT J WALSH President 312-867-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |