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1003096306
SPINE MIDWEST, INC
JEFFERSON CITY, MO
NPI
1003096306
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Entity Type
Organization
Authorized Contact
WILLIAM BLAKE RODGERS
President
573-634-4212
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2007-11-05
Last Update Date
2007-11-05
Business Address
SPINE MIDWEST, INC
200 SAINT MARYS MEDICAL PLZ SUITE 301
JEFFERSON CITY, MO 65101-1604
Phone number: 573-634-4212
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Mailing Address
SPINE MIDWEST, INC
200 SAINT MARYS MEDICAL PLZ SUITE 301
JEFFERSON CITY, MO 65101-1604
Phone number: 573-634-4212
Copy
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