| NPI | 1558506816 |
|---|---|
| Doing Business As | DBA NEUROSURGERY SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES BLAIR BLANKENSHIP Owner 479-582-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR C7058) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2012-09-17 |