| NPI | 1871830463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ALEXANDER Manager 877-518-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME107717) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |