| NPI | 1710409347 |
|---|---|
| Other Name | REBOUND NEUROSURGERY AT GOOD SAM |
| Entity Type | Organization |
| Authorized Contact | JAY L CRARY Authorized Official 360-254-6161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |