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Organization
ADVANCED SPINE JOINT AND WELLNESS CENTER
Active
Organization
ADVANCED SPINE JOINT AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON BUPP D.C. (PARTNER)
(330) 336-9500
Entity
Organization
Contact information
Practice address
5020 VICTOR DR, MEDINA, OH 44256-9688
(330) 433-4243
(330) 721-6508
Mailing address
5020 VICTOR DR, MEDINA, OH 44256-9688
(330) 433-4243
(330) 721-6508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
11/03/2020
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