| NPI | 1689241036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS LLOYD Owner 888-957-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |