NPI | 1912349580 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK PETERSON Doctor 541-770-5007 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD18861) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2013-09-17 |