| NPI | 1912602475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH UPADHYAY Owner 573-639-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-09-27 |