| NPI | 1932294113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L CRAWFORD Owner 270-415-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-20 |