NPI | 1760997126 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY ALLISON SHEEN JAMES Owner 928-212-1479 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 50744) |
Enumeration Date | 2017-12-07 |
Last Update Date | 2023-06-14 |