NPI | 1285797746 |
---|---|
Doing Business As | MIDWEST SPORT AND SPINE CENTER |
Entity Type | Organization |
Authorized Contact | JEANETTE PAYNE Office Manager 317-776-1061 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2006-12-18 |
Last Update Date | 2023-08-09 |