Organization
FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS
Active
Parent organization
FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS
Other names
Cascade Outpatient Spine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS
Authorized official
THOMAS RICHARD FLORY (EXECUTIVE DIRECTOR)
(360) 319-8615
Entity
Organization
Contact information
Practice address
710 BIRCHWOOD AVE, #101, BELLINGHAM, WA 98225-1720
(360) 676-0922
(360) 671-4726
Mailing address
710 BIRCHWOOD AVE, #101, BELLINGHAM, WA 98225-1720
(360) 676-0922
(360) 671-4726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
WA
Other
Enumeration date
11/13/2006
Last updated
07/05/2022
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