NPI | 1033291125 |
---|---|
Doing Business As | SOUTHWEST SPINE & SPORTS |
Entity Type | Organization |
Authorized Contact | DAVID P TAYLOR Vice President 417-269-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2006-10-19 |
Last Update Date | 2008-06-20 |