| NPI | 1609255405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M COSTIGAN Owner 626-396-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |