| NPI | 1306345723 |
|---|---|
| Doing Business As | COMMONWEALTH PAIN & SPINE |
| Entity Type | Organization |
| Authorized Contact | JASON CARNES LEWIS Owner 502-855-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |