| NPI | 1942252937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B MONTE STEWART Owner 541-488-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR MD25117) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD23395) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |