| Spine Midwest, Inc | |
|
200 Saint Marys Medical Plz Suite 301 Jefferson City MO 65101-1604 | |
| (573) 634-4212 | |
| Not Available |
| Full Name | Spine Midwest, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Saint Marys Medical Plz, Jefferson City, Missouri |
| Authorized Official Name and Position | William Blake Rodgers (PRESIDENT) |
| Authorized Official Contact | 5736344212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Midwest, Inc 200 Saint Marys Medical Plz Suite 301 Jefferson City MO 65101-1604 Ph: (573) 634-4212 | Spine Midwest, Inc 200 Saint Marys Medical Plz Suite 301 Jefferson City MO 65101-1604 Ph: (573) 634-4212 |
| NPI Number | 1003096306 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003096306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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