NPI | 1578610564 |
---|---|
Former Legal Business Name | SPINECARE LLP |
Entity Type | Organization |
Authorized Contact | JORDON FOWLER CEO 917-216-6285 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008169) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2022-06-29 |