| NPI | 1407034655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY A BLAYLOCK Credentialing COO Rdinator 440-892-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2010-01-12 |