| NPI | 1639229503 |
|---|---|
| Former Legal Business Name | AMERICAN SPINE INC |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ALICE KORFUS President 509-656-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602010766) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |