| NPI | 1831467596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LAVAUGHNCARRERO Director Of Operations 877-854-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2024-12-09 |