| NPI | 1861994337 |
|---|---|
| Former Legal Business Name | SPINECARE INSTITUTE, PA |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S WON Md 972-255-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |