| NPI | 1023219649 |
|---|---|
| Doing Business As | COMMUNITY SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS P FISCHER CFO 317-355-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-12-03 |