| NPI | 1992437495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIANNE YANTZ Hr 561-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |