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 |