| NPI | 1962560698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A BENAVIDES President 308-865-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-03-17 |