| NPI | 1982484176 |
|---|---|
| Doing Business As | CROSSROADS BRAIN & SPINE, DISC CENTER INDY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRENT LEA Sole Member 574-322-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |