| NPI | 1720272297 |
|---|---|
| Former Legal Business Name | DOC SPINE FAMILY MEDICINE, P.C. |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL SPINE CEO 303-828-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CO 32971) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-11-06 |