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Organization

MODERN SPINE PLLC

Active
Other names
Modern Spine
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ALLEN YAM MD (NEUROLOGICAL SURGEON)
(971) 220-1970
Entity
Organization

Contact information

Practice address
15101 NE 193RD CT, BRUSH PRAIRIE, WA 98606-3915
(971) 220-1970
Mailing address
15101 NE 193RD CT, BRUSH PRAIRIE, WA 98606-3915
(971) 220-1970

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
03/30/2023
Last updated
06/05/2023
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