NPI | 1871312421 |
---|---|
Doing Business As | COMMONWEALTH PAIN AND SPINE |
Entity Type | Organization |
Authorized Contact | JASON CARNES LEWIS Owner 502-855-3919 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-10-09 |