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 1578613998. 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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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578613998 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
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| Taxonomy | 207Xs0117X |
| Licence No | MD00040590 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 155512 | WA | WA DEPT OF LABOR & INDUST | |
| 1115534 | WA | -- | |
| 193641100 | WA | US DEPT OF LABOR |
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