| NPI | 1801531090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER SMITH Owner 916-352-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 231H00000X Audiologist | |
| 2355A2700X Specialist/Technologist, Audiology Assistant | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |