| NPI | 1982755682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MYERS Owner 502-633-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 32619) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-09-26 |