| NPI | 1811061039 |
|---|---|
| Doing Business As | SOUTHWEST SPINE & SPORTS |
| Entity Type | Organization |
| Authorized Contact | DAVID P TAYLOR Vice President 417-269-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-04-10 |