| NPI | 1962732131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERT MONTE STEWART Owner 541-488-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-03-11 |