| NPI | 1568623932 |
|---|---|
| Doing Business As | IMED SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON LEE KELLER Manager/Member 719-597-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5184) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2018-03-03 |