in - Orthopaedic Surgery Of The Spine

- NPI 1922050418

is a Orthopaedic Surgery Of The Spine in , . practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for is 1922050418. The last update date is .

's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!

Provider Profile Detail

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Sole Proprietor --
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NPI Number Detail

NPI Number 1922050418
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address
City
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Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Licence No 4213
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51517550 AL BLUE CROSS BLUE SHIELD
51517549 AL BLUE CROSS BLUE SHIELD
51000588 AL BLUE CROSS BLUE SHIELD
588 AL --

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