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Organization
BACK CARE OF SPIRIT LAKE, INC.
Active
Organization
BACK CARE OF SPIRIT LAKE, INC.
Active
Other names
Back Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J. SHELL (CLINIC ADMINISTRATOR)
(712) 336-5311
Entity
Organization
Contact information
Practice address
2309 23RD ST., SPIRIT LAKE, IA 51360-0342
(712) 336-5320
(712) 336-0020
Mailing address
2309 23RD ST., SPIRIT LAKE, IA 51360-0342
(712) 336-5320
(712) 336-0020
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
11/15/2007
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