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Ortho Spine & Pain Clinic Llc

Ortho Spine & Pain Clinic Llc is a health care provider in Meridian, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 618 Broad St, Suite A, Story City, IA 50248-1255, US
Practice Location Phone208-467-9117
Practice Location Fax515-733-2744
Legal Business NameORTHO SPINE & PAIN CLINIC LLC
NPI ?1558662395
Entity TypeOrganization
Enumeration Date ? Nov 10, 2010
Last Update Date ? Apr 30, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ortho Spine & Pain Clinic Llc

SpecialtySpecializationLicenseLicense State
Physical Therapist 004383
Physical TherapistNeurology 004383Iowa
Physical TherapistOrthopedic

official-icon Authorized Official of Ortho Spine & Pain Clinic Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ortho Spine & Pain Clinic Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Colleen Louw (MPT)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number515-733-2699