| NPI | 1487480224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN YAKEL Owner 208-770-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |