| NPI | 1891532800 |
|---|---|
| Doing Business As | MARYVILLE SPINE AND LASER |
| Entity Type | Organization |
| Authorized Contact | STEINER DOUGLAS SANFORD Manager 865-300-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2025-06-11 |