| NPI | 1972266872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH V PATEL Owner/President 304-253-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |