| NPI | 1861986572 |
|---|---|
| Doing Business As | LEGACY SPINE AND WELLNESS |
| Doing Business As | LEGACY SPINE & PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | ALAN GONZALEZ COTA Medical Officer 301-962-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0075394) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2024-08-06 |