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Organization
SPINE AND WELLNESS MEDICAL GROUP PLLC
Active
Organization
SPINE AND WELLNESS MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ROBERSON MD (MEMBER)
(775) 727-7959
Entity
Organization
Contact information
Practice address
2780 HOMESTEAD RD STE 105, PAHRUMP, NV 89048-5464
(775) 727-7959
(775) 727-7960
Mailing address
2780 HOMESTEAD RD STE 105, PAHRUMP, NV 89048-5464
(775) 727-7959
(775) 727-7960
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
10/03/2024
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