| NPI | 1790011575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A SLAUGHTER Owner 505-792-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2010-08-09 |