| NPI | 1528713708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY SAINTLOUIS Director Of Revenue Cycle 424-312-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-23 |