| NPI | 1386855898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE MERCER MCKINLEY Owner 760-489-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A30927) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-10-07 |