| NPI | 1538864673 |
|---|---|
| Doing Business As | MODERN SPINE |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN YAM Neurological Surgeon 971-220-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-06-05 |