Modern Spine Pllc

NPI #1538864673 in Brush Prairie, Washington

Provider Information

NPI Number: 1538864673
Entity Type: Organization
Organization Name: Modern Spine Pllc
Primary Specialty: Neurological Surgery
Enumeration Date: Mar 30, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 15101 NE 193RD CT
City: Brush Prairie
State: Washington
ZIP Code: 98606-3915
Phone: (971) 220-1970

Authorized Official

Name: DAVID ALLEN YAM, MD
Title: NEUROLOGICAL SURGEON
Phone: (971) 220-1970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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