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 |