| NPI | 1295447779 |
|---|---|
| Former Legal Business Name | SPINE CAPITAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT KOFFIE Neurosurgeon, CEO 480-999-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2023-02-18 |