| NPI | 1548534738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND N SMITH Administrator 909-865-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A87133) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |