| NPI | 1700181039 |
|---|---|
| Doing Business As | FORT WAYNE SPINE & JOINT |
| Entity Type | Organization |
| Authorized Contact | TROY BENJAMIN BYALL Owner 260-414-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002490A) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |