NPI | 1629098157 |
---|---|
Entity Type | Organization |
Authorized Contact | DARA PARVIN President 541-267-4429 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD21855) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OR MD26085) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2008-10-31 |