| NPI | 1780190348 |
|---|---|
| Doing Business As | COMMONWEALTH PAIN & SPINE |
| Entity Type | Organization |
| Authorized Contact | JASON CARNES LEWIS Owner 502-855-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |