| NPI | 1639561533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE GOODNIGHT Medical Biller 559-432-5570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G57994) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-05 |