NPI | 1639710882 |
---|---|
Entity Type | Organization |
Authorized Contact | BENDT P PETERSEN Physician 251-607-6117 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
Enumeration Date | 2019-09-30 |
Last Update Date | 2022-08-04 |