| NPI | 1750770814 |
|---|---|
| Other Name | SPINE AND SPORTS URGENT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT LILLY Administrator 805-701-8580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |