NPI | 1033486006 |
---|---|
Doing Business As | THE SPINE GROUP LLC |
Entity Type | Organization |
Authorized Contact | WARNER M HETTICK Authorized Official 303-457-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 111N00000X Chiropractor |
207Q00000X Family Medicine | |
Enumeration Date | 2011-11-18 |
Last Update Date | 2020-11-09 |