# SPINE & EXTREMITIES CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154075562
- **Authorized official:** MAUREEN W MILLS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (814) 577-9385

## Contact information

- **Practice address:** 457 S 5TH AVE, CLARION, PA 16214-6011
- **Practice address phone:** (814) 227-5855
- **Mailing address:** PO BOX 68, OSCEOLA MILLS, PA 16666-0068
- **Mailing address phone:** (814) 577-9385
- **Mailing address fax:** (814) 339-6165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2022
- **Last updated:** 02/05/2022