| NPI | 1962045096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RYAN EDWARDS Neurosurgeon 385-345-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-12-11 |